HomeMy WebLinkAbout0152409 - Building (Parking lot/Driveway) CITY OF OSHKOSH No 152409
OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1442 MARICOPA DR Owner Create Date 09/14/2012
Designer Contractor FOX VALLEY ASPHALT
Inspector Nicole Krahn
Category 257-Commercial Parking Lot/Driveway Plan
Type • Building 0 Sign O Canopy O Fence O Raze
Zoning _ Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete O Floating Slab O Pier 0 Other
0 Concrete Block 0 Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication _ #Dwelling Units 0 #Structures 0
Use/Nature OMM/Reconstruct 18'x90'of existing access drive per submitted site plan. DPW approval pending executed encroachment
of Work greement.
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $10,0.0.0.00 Plan proval $0.00 Permit Fee Paid $119.00 Park Dedication $0.00
Issued By: - !- Date 09/17/2012 Final/O.P. 00/00/0000
❑ Permit Voided Parcel Id#
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and un. rs - d the . ore mentio,-d i . mation.
Signature �� . Date C 7 / )——
Agent/Owner
Address 7526 STATE HWY 76 NEENAH _ WI 54956 - 0000 Telephone Number 722-8222 OR 1-800-:
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
G6 G P O Box 1130
City of Oshkosh Oshkosh,WI 54903-1130
Phone:(920)236-5050
Fax: (920)236-5084
Building Permit Application www.ci.oshkosh.wi.us
Project / /4'> C
Address `�
Add s-1 GoQ� I'7 c."--s
Applicant Ow - Contractor d Tenant Other(describe)
Owner/ Name dS y,�4 N �tiit•t�r v /1t l Lev` `V)�`/,26 ?(13
Tenant 2 Phone
Address 30,E . 7 //��,, / I/ 56Kr r ^r
�T (' �l/S�C�� mail���p°4�LC_�ct - O ,r
Contractor Company Name TO- VC tic c.,)4 -E- kL--itk-. hone
Contact /Q(//' z"" Email
Address ?5)-(! 571ede I-6i -7 ft/ 1�C2 GvL 5i `iCl5�
State Credential #'s
Dwelling Contractor Qualifier# Dwelling Contractor# Building Contractor Registration#
Achitect/ Company Name Phone
Designer
Contact Email
Address
Permit Type Residential Single Family Residential Duplex Commercial Multifamily Industrial
Catagory New Addition XAlteration
Project /T. ar- Crz - /. ill /C q ' /® re-- • -11--e
Description
He/r- lier, A baroac4 ad 11(Ae co ..,,/,. lc 0/.-7 -,, j
Mechanical Separate permits will be obtained for the following:
Permits Electrical by Plumbing by Heatin g by
Value of Job Pv r� (Value for materials&labor is re to ensure consistency in accessing$ l � 9• y g permit fees for all applicants.)
Payment by: Check #/)172- Cash Permit Fee Account
I certify the above information is con .lete and accurate. Any deviations from the above submitted information 'ay req 're additional permits
to be ine . I ackn 'led a . .:ee to these terms. /y
Name: L _ „,r�i� (Please print) Date: C '
Signature: '
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